Provider Demographics
NPI:1275674616
Name:LAWSON, JAMES EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:LAWSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 MAPLE HILL DR
Mailing Address - Street 2:
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-3261
Mailing Address - Country:US
Mailing Address - Phone:931-454-0544
Mailing Address - Fax:931-454-0811
Practice Address - Street 1:800 MAPLE HILL DR
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-3261
Practice Address - Country:US
Practice Address - Phone:931-454-0544
Practice Address - Fax:931-454-0811
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1856111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4041533OtherBCBS
TN4041533OtherBCBS
485372Medicare UPIN